Organization
LQCR, PLLC
Active
Other names
Life Quest Chiropractic & Sports
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. POWELL DC (PRESIDENT)
(320) 763-9711
Entity
Organization
Contact information
Practice address
123 3RD AVE E, SUITE 100, ALEXANDRIA, MN 56308
(320) 762-0683
(320) 762-1278
Mailing address
PO BOX 533, ALEXANDRIA, MN 56308
(320) 762-0683
(320) 762-1278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312135600
—
MN
01
—
351S4PO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
05/02/2007
Last updated
07/21/2022
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